Behavioral
Community Medical Services Montana Private LLC
Community Medical Services Montana Private LLC was paid $18.90M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is H0033, Oral medication administration, direct observation — 65% of everything it billed.
33Billing provider infoCOMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
WASILLA, AK 99654
WASILLA, AK 99654
33aNPI1659722114assigned 06/27/2016
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$18.90M
24GClaims383,431
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Alaska
Rank by total paid#1 of 12
Median peer was paid$221K
This provider vs. median86×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 63,283 | $1.11M | |
| 2019 | 86,918 | $4.21M | |
| 2020 | 50,647 | $1.99M | |
| 2021 | 5,438 | $430K | |
| 2022 | 63,081 | $3.61M | |
| 2023 | 62,542 | $4.27M | |
| 2024incomplete | 51,522 | $3.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0033 | Oral medication administration, direct observation | 65% | 224,042 | 15,474 | $12.36M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 16% | 89,152 | 14,161 | $3.04M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.3% | 15,223 | 9,402 | $1.56M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6.3% | 37,231 | 20,308 | $1.18M |
| T1016 | Case management, each 15 minutes | 1.2% | 7,885 | 4,742 | $224K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.1% | 557 | 472 | $204K |
| H0001 | Alcohol and/or drug assessment | <1% | 720 | 685 | $134K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 4,578 | 3,497 | $123K |
| H0046 | Mental health services, not otherwise specified | <1% | 656 | 614 | $25K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 284 | 263 | $14K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 249 | 233 | $9K |
| H0031 | Mental health assessment, by non-physician | <1% | 22 | 22 | $8K |
11 more codes
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 357 | $4K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 51 | $2K |
| 80305 | <1% | 519 | $1K | |
| 86580 | <1% | 275 | $769.21 | |
| 93042 | <1% | 143 | $699.26 | |
| 86780 | <1% | 61 | $677.92 | |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 987 | $612.85 |
| 86593 | <1% | 375 | $402.44 | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 0% | 12 | $0.00 |
| 93041 | 0% | 36 | $0.00 | |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 0% | 16 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.